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I had one lady who we respectfully discharged from my community nursing practice, meaning she had to come into the surgery to see a nurse but she had to book her appointments with the practice manager.It’s a huge ethical issue to potentially deprive someone of care… many times, poor behaviour is the result of a health issue- anxiety, mental illness, substance abuse, etc. so often patients will find themselves alienating those they need the most. Of course, some people are just jerks- and those are the kind of people who will exploit you setting a limit to make you look really bad professionally.The lady we discharged was a nightmare. To receive home nursing visits, a person has to be house-bound (UK) or have a compelling reason why they can’t go to the GP surgery. This lady said she couldn’t walk more than 20 metres and had severe anxiety, and only went out for hospital appointments.This lady claimed to be house-bound. She had leg ulcers to start with- we would do her dressings once a week as standard… she would call us in 4–5 times a day to “check” them. She would remove the wrappings and re-do the dressings herself then complain the nurse did it that way. Three of my nurses were brought up on disciplinary by the trust - so I started doing her dressings myself and not only signing across the tape but taking pictures. My nurses were cleared.Her leg ulcers were very superficial- we thought she was making them worse on purpose. She would scrape them with knives, and when we cultured them with was e-coli… poo. She had antibiotics, but said they didn’t work so we did bloods and they found no level of the antibiotics. We asked her about not taking the antibiotics.Then, she complained we were “stealing” her medication. Yes, water pills and antibiotics are in demand on the street. (rolls eyes) One day one of the nurses went to wash her hands and saw three of her tablets in the toilet- she checked the bin, and the packaging was there. The lady was flushing her tablets down the toilet on the days the nurses came so she could blame the nurses. The nurse took pictures and I went to speak to the lady. She denied doing it, and said the nurse did it. She made a complaint against me and the nurse. We were both cleared.She complained we stole money from her, so we started to go in pairs. Then, she said the nurses were beating her up and she had bruises to prove it- but, the bruises were only where she herself could reach. That doesn’t prove it wasn’t the nurses, but she didn’t have any real explanation of how the nurses were doing it. So, I started going to all her visits with the nurse, and I told her I would now audio record every visit. As the Team Leader, I had other things to do than visit this lady every day, but my nurses needed protection.She was diagnosed as having diabetes and although the diabetes centre taught her to self-inject insulin, she said she needed nurses to do it. Again, my nurses had to go in to try to help her with her insulin as she claimed she was completely unable to manage this herself. Still going in pairs, we had to go in first thing in the morning for insulin then later in the day for dressings twice a week.She called an ambulance one day and was found to have very low blood sugar. It’s uncommon for type 2 diabetes, even treated with insulin, to result in a severe hypo especially as her insulin was still being titrated up (she was on a low dose). She was obese and insulin resistant, so it didn’t make sense. She told the ambulance I had given her an overdose of insulin because I wanted to kill her. Sigh. I had a visit from the police- but on the recording you could hear the insulin pen make 22 clicks, and hear me check the dose with the other nurse “22 units, correct?” “correct”.Then she told the police I came to her house on my own and gave her more insulin … when she said the time, I could prove I was elsewhere (I was in a meeting with all the other team leaders).At this point we warned her that we’d had about enough, and we referred her (again) to the mental health team- and she (again) refused to see anyone from that service). We told her that she needed to stop making it so difficult for us to help her. My manager and I spoke to her. I recorded the visit.She called the Police saying we had threatened her. She also reported us to safeguarding saying we were abusive to her. The recording proved we hadn’t.She started calling the night service out to “adjust” her dressings, take her blood pressure, check her blood sugar… two or three times a night.And then… I just happened to go to bingo with a friend of mine, and lo and behold, my patient, the “housebound” lady who couldn’t possibly walk or leave the house, was standing at a slot machine waiting for the game to start. She walked all the way across the room when the game started, walked over to get a meal, and to do the slots at the break. When she left, she walked the 3/4 of a mile home!I took several pictures of her doing these things. She never saw me.The next day my manager and I went to advise her that she had to come to the surgery from now on, and would never have district nursing visits again as long as she remained able to go out on her own. She got very angry, and said she never left the house, so my manager showed her the pictures, including the ones of her walking home and entering her home.She said it was her twin sister who lived “abroad” who had just visited her yesterday but had since left. She was wearing the same shirt as she had the night before…But, that gave us the proof that she didn’t need home nursing. She was told that we would not send nurses out at night and that she would have to go to casualty at night.She started calling ambulances, and wound up getting a speaking to by them as well. They kept referring her back to the GP.In the end, she moved to a different community — I got a call from their district nurse team saying, “We have a new patient, she says she used to be under your team…” We supported that team, using our evidence and finally the (new) GP had her sectioned as her behaviour was causing harm to her health. She was diagnosed with Borderline Personality Disorder.I felt really bad for her … it was an impossible situation all around.

My partner Jennifer had funny things happening in her left eye on the day she arrived back in the UK after a 2 week cruise with her aging mother. She went straight to her doctor who showed great concern and made an appointment for her the next day at the big hospital in Cardiff, 6 miles away. She was in no pain. It was a cancer that had grown behind her eye and she was booked to see a big shot eye specialist in Liverpool within a few days. We went to Liverpool the day before we were expected and were seen as promised. I was allowed into the large room with her where I was amazed to see about 6 men (doctors I guess) in suits 3–4 nurses in uniforms and two women who were also eye specialists. The Italian surgeon, famous I was told, looked at her eye through various machines and confirmed that it was cancer. He said, I will remove it tomorrow at…, looked to the man behind, who said 10. Ten o’clock, he said and added that given her age, 63, although the eye could be saved he said that he might have to remove it months down the line given what he saw. He could do it all in one go tomorrow and that she should go with me for a cup of tea and discuss what she wanted to do. She opted for eye removal. Three days later we were back in South Wales after a successful operation. From landing at Southampton Docks to turning the key at our house in Penarth, South Wales that day I am sure it was only about 10 days. A nurse visited every day for a while to sort her dressings out and so it went on with doctors, the odd hospital check up until she was given a new false eye. I paid our hotel bill and I spent two days in Liverpool so I could be with her. We paid for the trains and taxis. If we had been short of money the state would have helped out up front, including for me. I was told to present hotel and train/taxi tickets to the hospital admin, which I did, but cannot remember if they sent any money or if my Jennifer ever pursued the costs. We were never asked to pay one penny for this amazing lifesaving healthcare. This is world class care and all because we pay through our taxes much, much less, I am reliably told, than Americans pay with their lunatic money grubbing insurance leeches. Of course this would be the same for anybody in the UK irrespective of how much they’ve paid in or if they never paid anything at all. Welcome USA to the civilised world where caring is not mistaken for socialism or communism and anyway it all works out CHEAPER for all concerned (ALL UK subjects covered and NOT 25% with no cover or inadequate cover as in the USA). Jennifer had had a few serious operations in her life previously so she probably would have not been able to get insurance stateside given her history.My sister on a routine check up in her fifties was diagnosed with breast cancer. Her breast had to be removed and this all happened within 14 days. A further small operation was needed and of course chemotherapy etc. was required. Never cost her a penny.I am 68 and I, like everybody else in the UK, could give dozens and dozens of examples of fantastic healthcare in the British Isles, speedy and efficient too. If you are told otherwise you are being lied to. The odd bad thing happens but that will happen under any system. In fact the USA has a very bad record of medical errors. John Hopkins(USA) study report says 250,000 deaths per year (some reports go as far as 400,000) from medical errors in the USA. It is the third cause of death in the USA after Heart disease and cancer. These are American statistics.

Michael had physical and emotional disorders. Some of these conditions were chronic , some transitory. This is his general health history from his medical records ,doctor visit records and autopsy. Other conditions, although not formally diagnosed are generally viewed as common knowledge.His autopsy report describes:Bronchiolitis and pneumonitis, chronic lung inflammation ( disease of the lung, impairs lung function)Enlarged prostate,nodular hyperplasiaLupus ,in remission at time of deathvitiligo, focal depigmentation especially of face,arms,abdomen, chestOsteoarthritis of the fingers ( arthritis)Degenerative osteoarthritis of lower lumbar spine( arthritis in the back)Spondylitis lower thoracic spine ( arthritis type condition /lower back)Colon polypFrom medical records /Michael's health complaints at doctor visitsAnxiety/ OCDDepressionInsomniaChronic nasal congestion and FatigueOpioid addictionAnorexia——————————————————————Second and third degree burns: crown of head. occupational accident.Body dysmorphia———————————————————————————————————————Sources:Michael Jackson medical records. dr Conrad Murray, dr Arnold Klein ,dr S. Hoefflin.Court testimony, dr Stuart Finkelstein, MJ's Bad tour doctor, Dr Farshian, FLA, treated MJ for opioid addiction, Alan Meltzer md, Cherilyn Lee, nurse practitioner, Robert Waldman md, addiction specialistrecords, LA COUNTY MEDICAL EXAMINERInterviews with Michael Jackson 1995–2003" Glenda Tapes" 1990s, Michael Jackson recorded discussing his anorexia